ABSTRACT:
INTRODUCTION: Pain is unpleasant emotional and sensory experience. After caesarean
section good post- operative analgesia is important for mother to optimally care for her neonate,
effective breast feeding and also reduce risk of thromboembolic disease, respiratory
complications & reduce hospital stay. The purpose is to study the post-operative analgesic
effectiveness of ULTRASOUND GUIDED TRANSVERSUS ABDOMINIS PLANE BLOCK-
after CS over use of other mode of intravenous analgesic drugs.
METHODOLOGY: This study was conducted on 54 patients fulfiling inclusion criteria of
ASAII-III physical status undergoing elective lower segment cesarean section under spinal
anaesthesia, were divided randomly 27 each into GROUP T & GROUP C to assess the degree,
duration of analgesia & no. of rescue analgesia required for 24 hours. Both the groups received spinal anaesthesia with inj bupivacaine 0.25% same dose to both the groups.
In (Group T) ultrasound
guided TAP block with INJ BUPIVACIANE 0.25% + INJ DEXAMETHSONE 8 mg, while in
(GROUP C) participants received iv analgesia in form INJ DICLOFENAC 75 mg. The post
operative pain was evaluated using visual analogue scale at0,2,4,6,8,10,12, and 24 hours after
operation.
RESULTS: It is observed that duration of analgesia after TAP bock is significantly prolonged
with the (Mean± SD)16.407±6.783, that with group C is (Mean ± SD) 5.630±1.75 with P value
Key words: PAIN, CESAREAN SCETION, POST OPERATIVE ANALGESIA, TRANSVERSUS
ABDOMINIS PLANE BLOCK,RESCUE ANALGESIA.
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